[HSF] Aortic purse strings in thin large aortas.

[gustavo abuin]

When we have a large thin aorta we don't pursestrig it. we cannulate the 
axillary or femoral artery. Large and thin aortas are like wives, no matter 
you do, it will be wrong.

----- Original Message ----- 
From: "sekhar le" <sekharle2006 at hotmail.com>
To: <OpenHeart-L at lists.hsforum.com>
Sent: Saturday, December 02, 2006 4:27 PM
Subject: [HSF] Aortic purse strings in thin large aortas.


> We use 5/0 prolene for all aortic purse strings. We use   finer sutures 
> with the idea that needle holes of bigger sutures cause more bleeding 
> before   they are not tied.
> we do not use pledgets  with the idea that when there is bleeding the 
> pledgets obscure the  exact source of bleeding.
>
> With this approach we do not have problems in   normal sized aortas but we 
> do have occasional problems in thin large aortas.
>
> I would like to know what others use for large thin aortas.
>
>
> Dr Sekhar
>
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